Mr Matthew Jeffrey Doherty, CRNA | |
12221 N Mopac Expy, Austin, TX 78758-2401 | |
(512) 901-1000 | |
Not Available |
Full Name | Mr Matthew Jeffrey Doherty |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 7 Years |
Location | 12221 N Mopac Expy, Austin, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013439215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP134789 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Parkwest Medical Center | Knoxville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mmc Anesthesia Group, Pc | 6901795830 | 180 |
Entity Name | Mmc Anesthesia Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639148117 PECOS PAC ID: 6901795830 Enrollment ID: O20040310001466 |
Mailing Address | Practice Location Address |
---|---|
Mr Matthew Jeffrey Doherty, CRNA 8000 E Maplewood Ave, Ste 200, Greenwood Village, CO 80111-4727 Ph: (856) 308-7399 | Mr Matthew Jeffrey Doherty, CRNA 12221 N Mopac Expy, Austin, TX 78758-2401 Ph: (512) 901-1000 |
Denise Leger, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8140 N Mopac Expy Ste 3-210, Austin, TX 78759 Phone: 512-343-2292 Fax: 512-343-2745 | |
Cherese Wheelock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3705 Medical Pkwy, Suite 570, Austin, TX 78705 Phone: 512-454-2554 | |
Donna M Landry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2304 Hancock Dr Ste 4, Austin, TX 78756 Phone: 512-407-8444 Fax: 512-407-8097 | |
Jeremy Frank Briggs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3705 Medical Pkwy, Suite 570, Austin, TX 78705 Phone: 512-454-2554 | |
Genevieve L Woolsey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3705 Medical Pkwy, Suite 570, Austin, TX 78705 Phone: 512-454-2554 | |
Dania Northcutt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3705 Medical Pkwy, Suite 570, Austin, TX 78705 Phone: 512-454-2554 |